Detailed Information

NPI Number 1336389683 has the “Organization” type of ownership and has been
registered to the following primary business legal name (which is a provider name or healthcare organization name) — FARMACIA CENTRAL INC .
The enumeration date of this NPI Number is 02/26/2009.
NPI Numer information was last updated at 04/18/2011.

Provider's other registered legal business name is FARMACIA CENTRAL .

The provider is physically located (Business Practice Location) at:

102 NAGLE AVE
NEW YORK
, NY
10040-1401
US

The provider can be reached at his practice location using the following numbers:

Phone 212-942-5050Fax 212-942-5856

The provider's official mailing address is:

102 NAGLE AVE
NEW YORK
, NY
10040-1401
US

The contact numbers associated with the mailing address are:

Phone 212-942-5050Fax 212-942-5856

The authorized official registered with the “1336389683” NPI Number
is
HARESH
SHAH
.

The authorized official title (position) is PRESIDENT.

You can reach the authorized official at the following phone number 212-942-5050.

Scope of Practice

The following information about the speciality of the provider is available:

#

Taxonomy Code

Taxonomy

License Number

License Number State

1

3336C0003X

Community/Retail Pharmacy

029586

NY

Legacy Identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

The "Is the organization a subpart?" question must be answered. If the organization is a subpart, the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes.
Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents").
Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents":
(1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. The legal entity must obtain an NPI. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should.
(2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. The offices are examples of subparts that could have their own NPIs if the main location determines that they should.
(3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans.
The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI.

4

Provider Organization Name (Legal Business Name)

FARMACIA CENTRAL INC

Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.

The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.

8

Provider Business Mailing Address City Name

NEW YORK

The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.

9

Provider Business Mailing Address State Name

NY

The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.

10

Provider Business Mailing Address Postal Code

10040-1401

The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.

11

Provider Business Mailing Address Country Code

US

The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.

12

Provider Business Mailing Address Telephone Number

212-942-5050

The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.

13

Provider Business Mailing Address Fax Number

212-942-5856

The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.

14

Provider First Line Business Practice Location Address

102 NAGLE AVE

The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

15

Provider Business Practice Location Address City Name

NEW YORK

The city name in the location address of the provider being identified.

16

Provider Business Practice Location Address State Name

NY

The State or Province name in the location address of the provider being identified.

17

Provider Business Practice Location Address Postal Code

10040-1401

The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.

18

Provider Business Practice Location Address Country Code

US

The country code in the location address of the provider being identified.

19

Provider Business Practice Location Address Telephone Number

212-942-5050

The telephone number associated with the location address of the provider being identified.

20

Provider Business Practice Location Address Fax Number

212-942-5856

The fax number associated with the location address of the provider being identified.

21

Provider Enumeration Date

02/26/2009

The date the provider was assigned a unique identifier (assigned an NPI).

22

Last Update Date

04/18/2011

The date that a record was last updated or changed.

23

Authorized Official Last Name

SHAH

The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.

24

Authorized Official First Name

HARESH

The first name of the authorized official

25

Authorized Official Title or Position

PRESIDENT

The title or position of the authorized official

26

Authorized Official Telephone Number

212-942-5050

The 10-position telephone number of the authorized official.

27

Healthcare Provider Taxonomy Code #1

3336C0003X

The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.

28

Healthcare Provider Taxonomy 1

Community/Retail Pharmacy

Healthcare Provider Taxonomy #1

29

Provider License Number 1

029586

Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.

30

Provider License Number State Code 1

NY

Provider License Number State Code #1

31

Healthcare Provider Primary Taxonomy Switch 1

Y

Primary Taxonomy:

X - The primary taxonomy switch is Not Answered;

Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);

N - The taxonomy is not the primary taxonomy.

32

Other Provider Identifier 1

3362340

Other Provider Identifier #1

33

Other Provider Identifier Type 1

OTHER

Other Provider Identifier Type #1

34

Other Provider Identifier Issuer 1

NCPDP PROVIDER IDENTIFICATION NUMBER

Other Provider Identifier Issuer #1

Driving Directions to “FARMACIA CENTRAL INC ” Practice Location

Language

Start Address

Practice Location

These directions are for planning purposes only. You may find that construction
projects, traffic, or other events may cause road conditions to differ from the
map results.